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Scatter radiation
Ch.15 and Ch.18
| Question | Answer |
|---|---|
| Scatter radiation is the primary result of | Compton interaction |
| Incoming x-ray photon (interacts with the outer shell electron) loses energy and changes direction (scatter). | Compton |
| The patient is the | Greatest source of scatter |
| ___ is not useful and exposes IR and degrades images | Scatter |
| Collimating and using a grid reduces | Scatter |
| 4 factors that affect amount of scatter radiation exiting the patient is | KVP, Thickness of tissue, Volume of tissue irradiated (size of xray beam) and Z# |
| Higher Z#, ____ PE, and ____ scatter | More, Less |
| The amount of scatter exiting the patient depends on | The KVP selected |
| As KVP is increased _____ interactions occur, and ____ photons pass through patient to IR. | Less; More |
| As KVP increases: Contrast _____ Scatter _____ and IR exposure _____ | Contrast Decreases, Scatter Increases, and IR exposure increases. |
| The larger the xray beam field size | The greater the amount of scatter radiation produced. |
| The larger the body part, the more tissues to interact with photons, so... | More scatter is created |
| We can decrease/reduce patient thickness by using a _____ or by placing the patient on their stomach | Compression Bands |
| A lower Z# _____ PE, and _____ scatter | Less PE, More Scatter |
| Collimation is | Beam Restriction |
| Beam restriction serves 2 purposes: | Limiting patient exposure, reducing amount of scatter radiation |
| Limiting the xray beam field size is accomplished with a | Beam - restricting device |
| As beam restriction or collimation increases, Field size ____ and patient dose _____ | Decreases; decreases |
| Decreasing patient dose, beam restricting devices also reduce scatter produced within the patient, reduce scatter to image receptor, so it also | increases radiographic contrast |
| Collimation ______ , density ______, contrast improves | Increases, decreases |
| mAs | Density |
| KVP | Contrast |
| Collimation requires an increase as much as __________ of the mAs to compensate for the loss of density that occurs because of collimation | 30% - 50% |
| Flat piece of lead (diaphragm) that has a hole (aperture) in it. | Aperture Diaphragm |
| Shaped differently, but work the same. They slide onto the tube below the window | Cones and Cyclinder |
| Types of beam - restricting devices | Aperture Diaphragm, Cones, Cyclinders, collimators |
| Automatically collimates the primary beam to the shape and size of the image receptor | Positive Beam Limiting Devices (PBL) |
| The field size should never be larger than the | IR / Cassette |
| The most common beam restrictor in radiography is | Collimator |
| A collimator has sets of _____ at right angles to one another that move in opposing pairs | Lead Shutters |
| The lead shutters have 2 purposes. | Regulate field size and reduce penumbra |
| A geometric unsharpness around the periphery of the image, also called edge unsharpness | Penumbra |
| Which lead shutter reduces penumbra | Bottom Lead shutter |
| Which lead shutter help reduce the amount of off-focus radiation? | Upper Lead shutter |
| The collimator is also a light source. The light field is provided by a ______ that is mounted in the path of the x-ray beam at a 45 degree angle. | Mirror |
| Who invented the radiographic grid in 1913? | Gustave Bucky |
| Grids do what? | Absorb scatter and improve contrast |
| Grids require | Additional mAs, resulting in higher patient dose. |
| Grids need to be applied when | Anatomic part is thicker than 10 cm and KVP is above 60. |
| Scatter decreases | Contrast |
| What contains lead strip or lines that have a precise height, thickness, and space between them and are radiopaque | Grids |
| Radiopaque lead lines are | dense, absorb scatter, high z# |
| Radiolucent interspace material separates the lead lines: typically made of | Aluminum |
| Radiopaque | Blocks radiation |
| Radiolucent | Allows radiation through |
| _____ can be described by grid frequency and grid ratio | Grid Construction |
| The numbers of lead lines per unit length, in inches, centimeters or both. | Grid Frequency |
| The ratio of the height of the lead strips to the distance between the strips | Grid Ratio |
| Grid Ratio formula? | H/D Height over Distance |
| As Grid ratio increases, scatter cleanup improves and contrast | Increases |
| Removes more scatter, improve contrast, and has less distance between lead strips and doesn't allow scatter to pass to IR | High Ratio Grid |
| What are the two types of grid patterns? | Linear and Cross - Hatched |
| Has lead lines that run at a right angle to one another | Cross hatched grid |
| Has lead lines that run in only one direction. | Linear pattern grid |
| Which is most popular because they allow angulation of the xray tube | Linear pattern grids |
| Which grid removes more scatter and are limited because the xray tube cannot be angled | Cross hatched grid |
| What are the two types of grid focus? | Parallel (non-focused) and Focused |
| Has lead lines that run parallel to one another | Parallel (non-focused) Grid |
| Has lead lines that are angled or canted to match the angle of divergence of the primary beam | Focused Grid |
| ______ allows more transmitted photons to reach the IR | Focused Grid |
| For a grid to be properly focused, the x-ray tube must be located along the | Convergent line |
| Sometimes called the grid radius | Focal distance |
| The convergent and convergent point are important because they determine the | Focal distance of a focused grid |
| What are the two types of grids? | Stationary and Moving grids |
| Matches the size of the cassette and is used by placing it on top of the image receptor | Wafer grid |
| An IR that has a grid permanently mounted to its surface | Grid Cassette |
| Permanently mounted grid and allows for the IR to slide in behind it | Grid Cap |
| What are the wafer grid, grid cassette, and cap grid? | Stationary Grids |
| Move during the xray exposure in a lateral direction and blurs the grids lines | Moving grids |
| Moving or reciprocating grids are part of the buckynand are called | Potter Bucky Diaphragm |
| The purpose of the grid is to increase | Contrast |
| Grids with higher ratios increase contrast because | higher frequency cleans up more scatter |
| As grid ratio Increases, density ______ , contrast increases. | Decreases |
| The disadvantages of grids are | The increase patient dose and possibility of grid cut off |
| _______ is a decrease in the number of transmitted photons that reach the IR because of some misalignment of the grid | Grid cutoff |
| What are the 5 grid errors | Off level, off center, off focus, upside down, the Moire effect. |
| When the tube is angled across the long axis of the grid strips. Improper tube or grid positioning. Most common occurs with stationary grids being used for mobile exams or decubitus views | Off-level grid error |
| The x-ray tube has to be centered along the central axis of a focused grid. If the CR is off center, it wont correspond to the grid and a result of decreased exposure occurs | Off center grid error |
| When a grid used at a distance other than specified as a focal range. Will have grid cut off along the peripheral edges of the image. Higher grid ratio requires a greater positioning accuracy. | Off Focus Grid Error |
| Results in grid cut off on the peripheral side of images | Upside-down Grid Error |
| Occurs ONLY with digital IR systems, when the grid lines are captured and scanned parallel to the scan line in the imaging plate readers. Most plates scanned across the short axis of the plate | Moire Effect Grid Error |
| As grid ratio increases: Contrast, patient dose, and likelihood of grid cut off _______ | Increases |
| Linear grid pattern, Focused grid, mid ratio (8:1 to 12:1) and has a focal range of SID of 40 or 72 inches is a | Typical Grid |
| This technique is based on the simple concept that much of the scatter will be miss the IR if there is increased distance between the patient and the IR (increased OID) | Air gap Technique |
| The air gap technique, the greater the gap, the greater the reduction in ____ | scatter reaching the IR |
| Air gap is limited because the necessary IOD results in ______ recorded detail | Decreased |
| The air gap is an alternative to... | using a grid to control scatter reaching the IR |
| The air gap technique results in patient dose that is the same as or slightly less than, using a comparable grid. | Because a grid absorbs some of the transmitted photons, where the air gap technique does not. |
| GCF= | mAs with the grid / mAs without the grid |